Prevalence of spinal pain in a population of Bosnia and Herzegovina

Antonija Hrkać; Roberta Perković; Branko Krišto; Livia Puljak; Antonija Hrkać; Roberta Perković; Branko Krišto; Livia Puljak

doi:10.3934/publichealth.2022053

AIMS Public Health

2022, Volume 9, Issue 4: 790-804. doi: 10.3934/publichealth.2022053

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Research article

Prevalence of spinal pain in a population of Bosnia and Herzegovina

1.
Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
2.
Cantonal Hospital, Dr. Fra Mihovil Sučić, Livno, Bosnia and Herzegovina
3.
School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina
4.
Center for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Zagreb, Croatia

Received: 20 June 2022 Revised: 11 November 2022 Accepted: 21 November 2022 Published: 05 December 2022

Objectives
To determine the prevalence and risk factors of spinal pain in the population of Bosnia and Herzegovina (BiH).

Methods
This was a cross-sectional survey conducted online in November/December 2018. Participants were inhabitants of BiH of both sexes, aged ≥ 16 years. The sample was stratified based on region and demographic characteristics. Current pain was analyzed; point prevalence was measured.

Results
We received 1048 responses, of which data from 1017 could be used. The prevalence of spinal pain in BiH was 70.9%: 75.5% in women (n = 440) and 64.7% in men (n = 281). Low back pain (LBP) was more common compared to neck pain (NP) and thoracic pain (TP) in both sexes and all age groups. Significant associations with spinal pain in the bivariate analysis were found for the following groups: women, aged from 30 to 50 years, with high school education, employed persons and retirees, spinal pain in parents, smoking, irregular physical activity, longer use of TV or computer/mobile phone per day.

Conclusion
To our knowledge, this is the first study of the prevalence of spinal pain in BiH. Some factors associated with spinal pain are modifiable. Therefore, public health interventions should target those factors to reduce the burden of spinal pain in BiH.
- spinal pain,
- back pain,
- neck pain,
- thoracic pain,
- low back pain,
- prevalence
Citation: Antonija Hrkać, Roberta Perković, Branko Krišto, Livia Puljak. Prevalence of spinal pain in a population of Bosnia and Herzegovina[J]. AIMS Public Health, 2022, 9(4): 790-804. doi: 10.3934/publichealth.2022053

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Abstract

Objectives

To determine the prevalence and risk factors of spinal pain in the population of Bosnia and Herzegovina (BiH).

Methods

This was a cross-sectional survey conducted online in November/December 2018. Participants were inhabitants of BiH of both sexes, aged ≥ 16 years. The sample was stratified based on region and demographic characteristics. Current pain was analyzed; point prevalence was measured.

Results

We received 1048 responses, of which data from 1017 could be used. The prevalence of spinal pain in BiH was 70.9%: 75.5% in women (n = 440) and 64.7% in men (n = 281). Low back pain (LBP) was more common compared to neck pain (NP) and thoracic pain (TP) in both sexes and all age groups. Significant associations with spinal pain in the bivariate analysis were found for the following groups: women, aged from 30 to 50 years, with high school education, employed persons and retirees, spinal pain in parents, smoking, irregular physical activity, longer use of TV or computer/mobile phone per day.

Conclusion

To our knowledge, this is the first study of the prevalence of spinal pain in BiH. Some factors associated with spinal pain are modifiable. Therefore, public health interventions should target those factors to reduce the burden of spinal pain in BiH.

Abbreviations

ANOVA

Analysis of Variance

BiH

Bosnia and Herzegovina

IVD

Intervertebral Disk

LBP

Low Back Pain

Neck pain

Thoracic Pain

Television

Acknowledgments

The authors would like to acknowledge participants who took part in this study. Let this study be a thank you and a memory of deceased Ivan Bagarić, who was part of the authors' team.

Conflict of interest

The authors declare no conflict of interest.

References

[1]	Wu A, March L, Zheng X, et al. (2020) Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Ann Transl Med 8: 299. https://doi.org/10.21037/atm.2020.02.175
[2]	Carroll LJ, Cassidy DJ, Peloso P, et al. (2008) Methods for the Best Evidence Synthesis on Neck Pain and Its Associated Disorders. The Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. Eur Spine J 17: 33-38. https://doi.org/10.1007/s00586-008-0623-z
[3]	Fouquet N, Bodin J, Descatha A, et al. (2015) Prevalence of thoracic spine pain in a surveillance network. Occup Med 65: 122-125. https://doi.org/10.1093/occmed/kqu151
[4]	Hartvigsen J, Hancock MJ, Kongsted A, et al. (2018) What low back pain is and why we need to pay attention. The Lancet 391: 2356-2367. https://doi.org/10.1016/s0140-6736(18)30480-x
[5]	Safiri S, Kolahi AA, Hoy D, et al. (2020) Global, regional, and national burden of neck pain in the general population, 1990–2017: systematic analysis of the Global Burden of Disease Study 2017. BMJ 368: m791. https://doi.org/10.1136/bmj.m791
[6]	Briggs AM, Smith AJ, Straker LM, et al. (2009) Thoracic spine pain in the general population: prevalence, incidence and associated factors in children, adolescents and adults. A systematic review. BMC Musculoskelet Disord 10: 77. https://doi.org/10.1186/1471-2474-10-77
[7]	Johansson MS, Jensen Stochkendahl M, Hartvigsen J, et al. (2017) Incidence and prognosis of mid-back pain in the general population: A systematic review. Eur J Pain 21: 20-28. https://doi.org/10.1002/ejp.884
[8]	Rubin DI (2007) Epidemiology and risk factors for spine pain. Neurol Clin 25: 353-371. https://doi.org/10.1016/j.ncl.2007.01.004
[9]	Hanna F, Daas RN, El-Shareif TJ, et al. (2019) The Relationship Between Sedentary Behavior, Back Pain, and Psychosocial Correlates Among University Employees. Front Public Health 7: 80. https://doi.org/10.3389/fpubh.2019.00080
[10]	Hussain SM, Urquhart DM, Wang Y, et al. (2016) Associations between television viewing and physical activity and low back pain in community-based adults: A cohort study. Medicine 95: e3963. https://doi.org/10.1097/MD.0000000000003963
[11]	Hoy DG, Protani M, De R, et al. (2010) The epidemiology of neck pain. Best Pract Res Clin Rheumatol 24: 783-792. https://doi.org/10.1016/j.berh.2011.01.019
[12]	Hoy D, Brooks P, Blyth F, et al. (2010) The Epidemiology of low back pain. Best Pract Res Clin Rheumatol 24: 769-781. https://doi.org/10.1016/j.berh.2010.10.002
[13]	Todd A, McNamara CL, Balaj M, et al. (2019) The European epidemic: Pain prevalence and socioeconomic inequalities in pain across 19 European countries. Eur J Pain 23: 1425-1436. https://doi.org/10.1002/ejp.1409
[14]	Vos T, Allen C, Arora M, et al. (2016) Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet 388: 1545-1602. https://doi.org/10.1016/s0140-6736(16)31678-6
[15]	Loney PL, Stratford PW (1999) The prevalence of low back pain in adults: a methodological review of the literature. Phys Ther 79: 384-396.
[16]	Dillman DA, Phelps G, Tortora R, et al. (2009) Response rate and measurement differences in mixed-mode surveys using mail, telephone, interactive voice response (IVR) and the Internet. Social Science Research 38: 1-18. https://doi.org/https://doi.org/10.1016/j.ssresearch.2008.03.007
[17]	Thornton L, Batterham PJ, Fassnacht DB, et al. (2016) Recruiting for health, medical or psychosocial research using Facebook: Systematic review. Internet Interv 4: 72-81. https://doi.org/10.1016/j.invent.2016.02.001
[18]	Burns KE, Duffett M, Kho ME, et al. (2008) A guide for the design and conduct of self-administered surveys of clinicians. CMAJ 179: 245-252. https://doi.org/10.1503/cmaj.080372
[19]	Fatoye F, Gebrye T, Odeyemi I (2019) Real-world incidence and prevalence of low back pain using routinely collected data. Rheumatol Int 39: 619-626. https://doi.org/10.1007/s00296-019-04273-0
[20]	Hoy D, Bain C, Williams G, et al. (2012) A systematic review of the global prevalence of low back pain. Arthritis Rheum 64: 2028-2037. https://doi.org/10.1002/art.34347
[21]	Hoy D, March L, Brooks P, et al. (2014) The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis 73: 968-974. https://doi.org/10.1136/annrheumdis-2013-204428
[22]	Fernandez-de-las-Penas C, Hernandez-Barrera V, Alonso-Blanco C, et al. (2011) Prevalence of neck and low back pain in community-dwelling adults in Spain: a population-based national study. Spine 36: E213-219. https://doi.org/10.1097/BRS.0b013e3181d952c2
[23]	Hogg-Johnson S, Van der Velde G, Carroll LJ, et al. (2008) The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine 33: S39-51. https://doi.org/10.1007/s00586-008-624-y
[24]	Hoy D, March L, Woolf A, et al. (2014) The global burden of neck pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis 73: 1309-1315. https://doi.org/10.1136/annrheumdis-2013-204431
[25]	Punnett L, Pruss-Utun A, Nelson DI, et al. (2005) Estimating the global burden of low back pain attributable to combined occupational exposures. Am J Ind Med 48: 459-469. https://doi.org/10.1002/ajim.20232
[26]	Hasler CC (2013) Back pain during growth. Swiss Med Wkly 143: w13714. https://doi.org/10.4414/smw.2013.13714
[27]	Hoy D, Geere JA, Davatchi F, et al. (2014) A time for action: Opportunities for preventing the growing burden and disability from musculoskeletal conditions in low- and middle-income countries. Best Pract Res Clin Rheumatol 28: 377-393. https://doi.org/10.1016/j.berh.2014.07.006
[28]	Johnson CD, Haldeman S, Chou R, et al. (2018) The Global Spine Care Initiative: model of care and implementation. Eur Spine J 27: 925-945. https://doi.org/10.1007/s00586-018-5720-z
[29]	Buchbinder R, van Tulder M, Öberg B, et al. (2018) Low back pain: a call for action. The Lancet 391: 2384-2388. https://doi.org/10.1016/s0140-6736(18)30488-4
[30]	Kamper SJ, Logan G, Copsey B, et al. (2020) What is usual care for low back pain? A systematic review of health care provided to patients with low back pain in family practice and emergency departments. Pain 161: 694-702. https://doi.org/10.1097/j.pain.0000000000001751

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